Basic Information
Provider Information | |||||||||
NPI: | 1740815158 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | WEBB | ||||||||
FirstName: | CARRI | ||||||||
MiddleName: | FRANKIE MARIE | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MSW, LCSW | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | WEBB | ||||||||
OtherFirstName: | CARRI | ||||||||
OtherMiddleName: | F | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 1 OAK PLZ STE 208 | ||||||||
Address2: |   | ||||||||
City: | ASHEVILLE | ||||||||
State: | NC | ||||||||
PostalCode: | 288013000 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8285759760 | ||||||||
FaxNumber: | 8285759761 | ||||||||
Practice Location | |||||||||
Address1: | 1 OAK PLZ STE 208 | ||||||||
Address2: |   | ||||||||
City: | ASHEVILLE | ||||||||
State: | NC | ||||||||
PostalCode: | 288013000 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8285759760 | ||||||||
FaxNumber: | 8285759761 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 03/05/2020 | ||||||||
LastUpdateDate: | 05/23/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 05/23/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | P013938 | NC | N |   | Behavioral Health & Social Service Providers | Social Worker | Clinical | 1041C0700X | C014820 | NC | Y |   | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.